Individual
TARA LEE BEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 CRANBERRY KNOLL ST, PLYMPTON, MA 02367-1311
(508) 245-4036
(508) 245-4036
Mailing address
6 CRANBERRY KNOLL ST, PLYMPTON, MA 02367-1311
(508) 245-4036
(508) 245-4036
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
305YZG48H3
MA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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